Brain & spine最新文献

{"title":"The influence of government-issued lockdowns during the COVID-19 pandemic on traumatic brain injuries in Tyrol, Austria","authors":"Victoria Schön ,&nbsp;Alina Farbmacher ,&nbsp;Lukas Grassner ,&nbsp;Barbara Klein ,&nbsp;Claudius Thomé ,&nbsp;Daniel Pinggera","doi":"10.1016/j.bas.2024.104159","DOIUrl":"10.1016/j.bas.2024.104159","url":null,"abstract":"<div><h3>Introduction</h3><div>In February 2020, COVID-19 infections started to spread in Austria. This was followed by governmental actions and constraints such as lockdowns, quarantine protocols, and a ban on outdoor sports. The goal of this study was to investigate the influence of these measures on the number of traumatic brain injuries (TBI) in the state of Tyrol.</div></div><div><h3>Methods</h3><div>The incidence of TBI during lockdowns and restrictions of outdoor activities in 2020 and 2021 were compared with corresponding periods in previous years. The data was retrospectively collected and analyzed.</div></div><div><h3>Results</h3><div>During the first lockdown in the winter of 2020/2021, there was a notably lower incidence of moderate and severe TBIs compared to the corresponding period in 2019/2020 (p = 0.016). Similarly, there was a reduction in TBIs from sports accidents during this period (p = 0.010). However, when comparing other lockdown periods to the previous years, no differences were observed.</div></div><div><h3>Conclusion</h3><div>The various governmental measures restricting mobility aimed to contain the COVID-19 pandemic but showed little influence on the number of TBI cases. Only a lockdown in the accident-prone winter months has influenced the incidence of TBIs.</div></div>","PeriodicalId":72443,"journal":{"name":"Brain & spine","volume":"5 ","pages":"Article 104159"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reorganizing outpatient spine services increased efficiency and patient satisfaction","authors":"Arkan Sam Sayed-Noor ,&nbsp;Thomas Torstensson ,&nbsp;Björn Knutsson","doi":"10.1016/j.bas.2025.104245","DOIUrl":"10.1016/j.bas.2025.104245","url":null,"abstract":"<div><h3>Introduction</h3><div>The workload in orthopedic outpatient departments is increasing while the available medical resources are often limited.</div></div><div><h3>Research questions</h3><div>Can reorganizing the outpatient work routines for referred patients with spinal disorders improve cost-effectiveness and patient's experience of care (PEC) without negatively affecting the waiting time required for the healthcare guarantee?</div></div><div><h3>Material and methods</h3><div>We compared our standard routine (control group) to a new routine (study group) for evaluating referrals of patients with spinal complaints. In the control group, the referral was first evaluated by a spinal surgeon, and when deemed indicated, a visit to a spinal surgeon was booked. In the study group, a spinal surgeon first evaluated all referral notes and either assigned a spinal surgeon or a physiotherapist to meet the patient, depending on certain criteria. If considered eligible for surgical intervention, the patient is appointed for a follow-up visit to the spinal surgeon. For both groups, calculations were made for the number of waiting days and visits, as well as the cost. Also, we compared the PEC between the two groups through telephone interviews.</div></div><div><h3>Results</h3><div>The number of waiting days and visits, as well as the cost, were significantly reduced (p &lt; 0.01) in the study group. Also, the study group showed slightly higher mean values for the PEC components, with significant differences related to the waiting time, treatment with respect, and taking account of patient knowledge.</div></div><div><h3>Discussion and conclusions</h3><div>Reorganizing outpatient work routines could eliminate the need for locum doctors while maintaining patient satisfaction and reducing costs.</div></div>","PeriodicalId":72443,"journal":{"name":"Brain & spine","volume":"5 ","pages":"Article 104245"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The current state of cranioplasty in Europe – Results from a European cranioplasty survey","authors":"Paul Vincent Naser ,&nbsp;Parmenion Tsitsopoulos ,&nbsp;Friederike Zacharias ,&nbsp;Ana M. Castaño-Leon ,&nbsp;Andras Buki ,&nbsp;Bart Depreitere ,&nbsp;Thomas Van Essen ,&nbsp;Tommi K. Korhonen ,&nbsp;Harry Mee ,&nbsp;Iftakher Hossain ,&nbsp;Jussi Posti ,&nbsp;Laura Lippa ,&nbsp;Marios C. Papadopoulos ,&nbsp;Nicole Terpolilli ,&nbsp;Niklas Marklund ,&nbsp;Ondra Petr ,&nbsp;Peter Toth ,&nbsp;Teemu Luoto ,&nbsp;Sandro M. Krieg ,&nbsp;Andreas W. Unterberg ,&nbsp;Christos Tsitsipanis","doi":"10.1016/j.bas.2025.104214","DOIUrl":"10.1016/j.bas.2025.104214","url":null,"abstract":"<div><h3>Introduction</h3><div>Cranioplasty, a surgical procedure to restore skull integrity and aesthetic contour following decompressive craniectomy, poses challenges in material selection and timing, driven by the lack of guidelines and ongoing regulatory changes.</div></div><div><h3>Research question</h3><div>This study aimed to provide an overview of current cranioplasty practices in Europe, explicitly addressing a potential shift towards alloplastic materials and the management of patients with concomitant hydrocephalus.</div></div><div><h3>Material and methods</h3><div>An online survey was conducted among European neurosurgical centers from January to March 2024, collecting data on material preferences, timing of procedures, and management strategies for cranioplasty. Descriptive and statistical analyses were performed on 110 complete responses.</div></div><div><h3>Results</h3><div>Respondents favored alloplastic materials over autologous bone for cranioplasty, citing regulatory constraints and reduced infection risk as primary reasons. Variability was observed in the timing of procedures and the management of patients with hydrocephalus, with most centers adopting staged approaches.</div></div><div><h3>Discussion and conclusion</h3><div>The shift towards alloplastic materials in cranioplasty reflects regulatory pressures rather than material-specific considerations. Despite variability in practice, our findings underscore the need for standardized guidelines and further research to optimize patient outcomes. This study provides valuable insights into current practices and highlights areas for future investigation in cranioplasty.</div></div>","PeriodicalId":72443,"journal":{"name":"Brain & spine","volume":"5 ","pages":"Article 104214"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing the adoption of innovation in spine surgery: An international survey of AO spine network","authors":"Arun Kumar Viswanadha ,&nbsp;Luca Ambrosio ,&nbsp;Pieter-Paul A. Vergroesen ,&nbsp;Zorica Buser ,&nbsp;Hans Joerg Meisel ,&nbsp;Nancy Santesso ,&nbsp;Jason P.Y. Cheung ,&nbsp;Yabin Wu ,&nbsp;Hai V. Le ,&nbsp;Gianluca Vadalà ,&nbsp;Amit Jain ,&nbsp;Andreas K. Demetriades ,&nbsp;Sam K. Cho ,&nbsp;Patrick C. Hsieh ,&nbsp;Ashish Diwan ,&nbsp;Tim Yoon ,&nbsp;Sathish Muthu ,&nbsp;AO Spine Knowledge Forum Degenerative","doi":"10.1016/j.bas.2025.104206","DOIUrl":"10.1016/j.bas.2025.104206","url":null,"abstract":"<div><h3>Introduction</h3><div>Knowledge translation from research to clinical practice can often be challenging, and practice modification patterns among surgeons may stem from a variety of sources, including personal experience, peer influence, ongoing education, and evolving research findings.</div></div><div><h3>Research question</h3><div>This study aimed to investigate the adoption patterns amongst surgeons for newer innovations and to analyse the factors affecting the implementation of the same in clinical practice. We used the adoption of osteobiologics as a case example.</div></div><div><h3>Methods</h3><div>An international expert survey was conducted among AO Spine users and members. The survey, comprising 30 items, explored surgeons' demographics, risk aversion, and factors influencing practice change. We categorized the innovation-adoptive nature of the surgeons and scored their risk-adoptive behaviour.</div></div><div><h3>Results</h3><div>A total of 458 responses were received from surgeons across 81 countries including 433 male (95%), orthopaedic surgeons (n = 263; 57%) from university-affiliated hospitals (n = 185; 40%). Most were in the early majority phase of the innovation-adoption cycle (n = 174; 38%) with a majority in the ‘high-moderate’ risk-adoption category (n = 396; 86%). This risk adoption behaviour had a significant correlation with their appetite for innovation (r = 0.182,p=&lt;0.001). About 67.9% of respondents preferred scientific literature and conference presentations showcasing solid clinical evidence to be the most influential factor in driving change in their clinical practice. Material logistics (55%) is considered an important barrier to practice modification followed by familiarity (50%) and financial reimbursements (25%).</div></div><div><h3>Discussion &amp; conclusion</h3><div>A complex interplay exists between risk-adoptive behaviour amongst surgeons and the factors influencing a change in their clinical practice. Although most surgeons were in the early adoptive phase in accepting the innovations into their clinical practice, they were also equally noted to be risk tolerant. Hence, a successful adoption of practice-changing innovation hinges on addressing not only logistical and financial challenges but also on providing robust scientific evidence to drive the necessary change in clinical practice.</div></div>","PeriodicalId":72443,"journal":{"name":"Brain & spine","volume":"5 ","pages":"Article 104206"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The diagnostic and prognostic capability of artificial intelligence in spinal cord injury: A systematic review","authors":"Saran Singh Gill ,&nbsp;Hariharan Subbiah Ponniah ,&nbsp;Sho Giersztein ,&nbsp;Rishi Miriyala Anantharaj ,&nbsp;Srikar Reddy Namireddy ,&nbsp;Joshua Killilea ,&nbsp;DanieleS.C. Ramsay ,&nbsp;Ahmed Salih ,&nbsp;Ahkash Thavarajasingam ,&nbsp;Daniel Scurtu ,&nbsp;Dragan Jankovic ,&nbsp;Salvatore Russo ,&nbsp;Andreas Kramer ,&nbsp;Santhosh G. Thavarajasingam","doi":"10.1016/j.bas.2025.104208","DOIUrl":"10.1016/j.bas.2025.104208","url":null,"abstract":"<div><h3>Background</h3><div>Artificial intelligence (AI) models have shown potential for diagnosing and prognosticating traumatic spinal cord injury (tSCI), but their clinical utility remains uncertain.</div></div><div><h3>Method</h3><div>ology: The primary aim was to evaluate the performance of AI algorithms in diagnosing and prognosticating tSCI. Subsequent systematic searching of seven databases identified studies evaluating AI models. PROBAST and TRIPOD tools were used to assess the quality and reporting of included studies (PROSPERO: CRD42023464722). Fourteen studies, comprising 20 models and 280,817 pooled imaging datasets, were included. Analysis was conducted in line with the SWiM guidelines.</div></div><div><h3>Results</h3><div>For prognostication, 11 studies predicted outcomes including AIS improvement (30%), mortality and ambulatory ability (20% each), and discharge or length of stay (10%). The mean AUC was 0.770 (range: 0.682–0.902), indicating moderate predictive performance. Diagnostic models utilising DTI, CT, and T2-weighted MRI with CNN-based segmentation achieved a weighted mean accuracy of 0.898 (range: 0.813–0.938), outperforming prognostic models.</div></div><div><h3>Conclusion</h3><div>AI demonstrates strong diagnostic accuracy (mean accuracy: 0.898) and moderate prognostic capability (mean AUC: 0.770) for tSCI. However, the lack of standardised frameworks and external validation limits clinical applicability. Future models should integrate multimodal data, including imaging, patient characteristics, and clinician judgment, to improve utility and alignment with clinical practice.</div></div>","PeriodicalId":72443,"journal":{"name":"Brain & spine","volume":"5 ","pages":"Article 104208"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subject: Letter to the Editor on \"Diagnostic and prognostic performance of urine ubiquitin carboxy-terminal hydrolase L1 across multiple acute brain injury types – A longitudinal prospective cohort study\"","authors":"Muhammad Ibrahim","doi":"10.1016/j.bas.2025.104209","DOIUrl":"10.1016/j.bas.2025.104209","url":null,"abstract":"","PeriodicalId":72443,"journal":{"name":"Brain & spine","volume":"5 ","pages":"Article 104209"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis of subarachnoid haemorrhage: Systematic evaluation of CT head diagnostic accuracy and comparison with the 2022 NICE guidelines","authors":"Conor S. Gillespie ,&nbsp;John Gerrard Hanrahan ,&nbsp;Roxana Mahdiyar ,&nbsp;Keng Siang Lee ,&nbsp;Mohammad Ashraf ,&nbsp;Ali M. Alam ,&nbsp;Justyna O. Ekert ,&nbsp;Orla Mantle ,&nbsp;Simon C. Williams ,&nbsp;Jonathan P. Funnell ,&nbsp;Nihal Gurusinghe ,&nbsp;Raghu Vindlacheruvu ,&nbsp;Peter C. Whitfield (Prof) ,&nbsp;Rikin A. Trivedi ,&nbsp;Adel Helmy ,&nbsp;Peter J. Hutchinson (Prof)","doi":"10.1016/j.bas.2025.104200","DOIUrl":"10.1016/j.bas.2025.104200","url":null,"abstract":"<div><h3>Introduction</h3><div>Aneurysmal subarachnoid haemorrhage has a high incidence, and morbidity. It has been suggested that a negative non-contrast CT head can rule out SAH if performed within 6 h of symptom onset.</div></div><div><h3>Research question</h3><div>What is the sensitivity of CT head at ruling out SAH stratified by time-point, and what is the potential impact of omitting Lumbar Puncture (LP) from the diagnostic pathway?</div></div><div><h3>Material and methods</h3><div>Systematic review and meta-analysis (PROSPEROID CRD42022379929). Three databases were searched, and articles published between January 2000–May 2022 included (Search date 27^th November 2022). Primary objective was diagnostic accuracy of CT scans for detecting SAH at &lt;6 h from symptom onset, including reported sensitivity, and specificity values.</div></div><div><h3>Results</h3><div>63 articles were included (38,237 patients, 7673 with SAH). Pooled CT head sensitivity was 0.94 for excluding SAH (22 studies, 95% Confidence Interval [CI] 0.90–0.97). At &lt;6 h, CT head sensitivity was 0.995 (6 studies, 95% CI 0.941–1.000). Most studies (57.1%, n = 36/63) were classified as high risk of bias. If LP was removed from the diagnostic pathway in the UK, assuming an incidence of 4800 SAH per-year, 336 SAH would be missed per-year, 24 per-year if LP was removed for negative CT &lt; 6 h (95% CI 0–278) and 58 per-year if mean sensitivity is used (95% CI 0–240).</div></div><div><h3>Discussion and conclusion</h3><div>CT head appears to be highly sensitive at excluding SAH &lt;6 h from symptom onset. High quality, prospective data is required to further established the utility of early (&lt;6 h) negative CT head. We recommend that if there is strong clinical suspicion of SAH, yet CT head is reported negative &lt;6 h of symptom onset, that a LP be performed.</div></div>","PeriodicalId":72443,"journal":{"name":"Brain & spine","volume":"5 ","pages":"Article 104200"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interpersonal and systemic factors in initiating, developing and maintaining collaborations between European neurosurgical departments and institutions in low-resources settings: A qualitative study","authors":"Nicolò Marchesini ,&nbsp;Vicki M. Butenschoen ,&nbsp;Andreas K. Demetriades ,&nbsp;Said Idrissa Ahmada ,&nbsp;Fazlul Hoque ,&nbsp;Thomas Kapapa ,&nbsp;Patrick D. Kamalo ,&nbsp;Pablo González-López ,&nbsp;Rupavathana Mahesperan ,&nbsp;Ondra Petr ,&nbsp;Wilco Peul ,&nbsp;Nicephorus Boniface Rutabasibwa ,&nbsp;Ellianne J. dos Santos Rubio ,&nbsp;Abenezer Tirsit Aklilu ,&nbsp;Jake Timothy ,&nbsp;Enoch O. Uche ,&nbsp;Magnus Tisell","doi":"10.1016/j.bas.2025.104303","DOIUrl":"10.1016/j.bas.2025.104303","url":null,"abstract":"<div><h3>Introduction</h3><div>Neurosurgical care in low- and middle-income countries faces persistent challenges, including insufficient infrastructure, lack of trained surgeons, and limited access to sustainable training programs. Collaborative initiatives with high-income countries aim to address these gaps. However, in-depth studies of European-led partnerships and the interpersonal and systemic factors underpinning their success remain limited.</div></div><div><h3>Research question</h3><div>What are the most salient interpersonal and systemic factors relevant to the a) initiation, b) development, and c) maintenance of effective and sustainable collaborations between European neurosurgical departments and institutions in resource-limited settings?</div></div><div><h3>Material and methods</h3><div>We conducted a prospective qualitative study using semi-structured interviews with fourteen matched neurosurgeons—seven from European centers and seven from LMIC institutions—engaged in such collaborations. Data were collected virtually between May and August 2024. Transcripts were analyzed thematically to identify major themes, which were coded and categorized.</div></div><div><h3>Results</h3><div>Twelve themes emerged, grouped into three stages: a) initiation: trust and personal connections, systematic planning and foundations, local context and needs, institutional and government support; b) development: capacity building and skills development, academic and research growth, challenges to development and adaptation; c) maintenance: sustainability and independence, resources and logistical support, communication and continuous commitment, outcome measures and accountability, and challenges to maintenance and advices for continuity.</div></div><div><h3>Discussion and conclusions</h3><div>Findings highlight recurring interpersonal and systemic dynamics central to successful long-term partnerships. This study provides context-specific, real-world insights into their practical execution. Future efforts should focus on developing targeted recommendations to strengthen global neurosurgical collaborations and address inequities in access to care.</div></div>","PeriodicalId":72443,"journal":{"name":"Brain & spine","volume":"5 ","pages":"Article 104303"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144470365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stand-alone extreme lateral interbody fusion (stand-alone XLIF) to treat radicular symptoms in patients with lumbar degenerative scoliosis: A monocentric observational study","authors":"Carolin Albrecht ,&nbsp;Maximilian Schwendner ,&nbsp;Paul Backhaus ,&nbsp;Vicki M. Butenschoen ,&nbsp;Bernhard Meyer","doi":"10.1016/j.bas.2025.104321","DOIUrl":"10.1016/j.bas.2025.104321","url":null,"abstract":"<div><h3>Introduction</h3><div>Extreme lateral interbody fusion (XLIF) is commonly used for scoliosis and spondylolisthesis in conjunction with posterior spinal fixation. Stand-alone XLIF may serve as an intermediate strategy for radicular symptoms in neuroforaminal or spinal canal stenosis with severe coronal imbalance, avoiding extensive posterior fixation in frail patients. This study evaluated its efficacy in treating radicular symptoms in degenerative scoliotic patients without posterior instrumentation.</div></div><div><h3>Material and methods</h3><div>We retrospectively analyzed 19 patients who underwent stand-alone XLIF and dorsal decompression if required between January 2021–June 2024 for degenerative stenosis due to thoracolumbar scoliosis or listhesis with coronal deformity. Outcomes included symptom relief, revision surgery and radiological features like foraminal height restoration. We correlated initial diagnosis and fused levels with success rates to identify predictive factors.</div></div><div><h3>Results</h3><div>Patients ranged from 65 to 86 years, 47 % were male and 53 % female. Most (42.1 %) underwent single-level fusion; 31.6 % had up to three levels fused. Radicular symptom relief was achieved in 52.6 % of patients following stand-alone XLIF. An additional 36.8 % experienced symptom relief after secondary dorsal decompression resulting in an overall relief rate of 89.5 %. Two patients (10.5 %) required secondary posterior instrumentation. Complications included retroperitoneal hematoma and cage dislocation.</div></div><div><h3>Discussion and conclusions</h3><div>After stand-alone XLIF, 89.5 % of patients achieved pain relief. This procedure addresses neuroforaminal stenosis via indirect decompression and supports secondary fusion, reducing the need for extensive corrective spondylodesis. It is a viable option for frail patients with degenerative scoliosis and radicular symptoms. However, no long-term follow-up was performed and conclusions regarding durability are limited.</div></div>","PeriodicalId":72443,"journal":{"name":"Brain & spine","volume":"5 ","pages":"Article 104321"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144572667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic reliability of the FinSpine nationwide spine surgery registry: Comparison between clinical registry diagnoses and blinded imaging assessments","authors":"Jussi P. Repo ,&nbsp;Katri Pernaa ,&nbsp;Liisa Pekkanen ,&nbsp;Juho Hatakka ,&nbsp;Heikki Mäntymäki ,&nbsp;Antti Malmivaara ,&nbsp;Henri Salo ,&nbsp;Eetu Suominen ,&nbsp;Jyrki Kankare ,&nbsp;Jukka Huttunen","doi":"10.1016/j.bas.2025.104325","DOIUrl":"10.1016/j.bas.2025.104325","url":null,"abstract":"<div><h3>Introduction</h3><div>The Finnish national spine surgery registry (FinSpine) collects data on patients, operative procedures, and outcomes.</div></div><div><h3>Research question</h3><div>Is the reliability of diagnosis collection for the FinSpine registry across various institutions sufficient?</div></div><div><h3>Methods and methods</h3><div>A random sample of 110 spine surgeries performed in Finland since 2017 was selected from the FinSpine registry. Details of the operative procedures, including characteristics of the hospitals, primary and secondary diagnoses, the anatomical level of the spine surgery, and the date of the surgery, were recorded. Three experienced spine surgeons assessed radiographic imaging independently on two occasions with a one-month interval. Cohen and Fleiss kappa values were calculated for inter- and intra-rater reliability with registry diagnoses as the standard.</div></div><div><h3>Results</h3><div>Altogether, 85 patients were included in the final analysis. The intra-rater reliability for primary diagnosis was moderate to almost perfect among all three evaluators, with Cohen's kappa values ranging from 0.765 to 0.847. In the inter-rater reliability analysis, there was moderate agreement between evaluators 1 and 2 (Cohen's κ = 0.592, SD 0.061) and evaluators 1 and 3 (κ = 0.595, SD 0.061). The agreement was substantial between evaluators 2 and 3 (κ = 0.676, SD 0.057). The Fleiss' kappa value was 0.622 (95 % CI from 0.570 to 0.673). The inter-rater reliability ranged from 0.596 to 0.652 when the evaluators' diagnoses were compared with those in the registry.</div></div><div><h3>Discussion and conclusion</h3><div>The primary diagnoses recorded in the FinSpine registry are reproducible and reliable, making the registry data valuable for further research and clinical decision-making.</div></div>","PeriodicalId":72443,"journal":{"name":"Brain & spine","volume":"5 ","pages":"Article 104325"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}